| Doctor Name: | SUSAN LYNNE STEVENSON |
| NPI Number: | 1275552002 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, MS |
| License Number: | RN141700 |
| Business Practice Address: | 24 Newton St Southborough, MA - 017721215 |
| Business Phone Number: | 5088721614 |
| Business Fax Number: | 5086206572 |
| Mailing Address: | 630 Plantation St, Wot 12th Fl WORCESTER |
| State: | MA |
| Postal Code: | 016052038 |
| Phone Number: | 5083685532 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN141700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |